| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,444.00 | $7,971.00 | $12,672.00 | |
Aetna
| Professional | $12,672.00 | $18,028.12 | $18,028.12 | |
Anthem BCBS
| Facility | $3,185.00 | $9,153.00 | $60,320.00 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,873.00 | $10,707.00 | $15,469.00 |